@layout("/backend/common/_container.html"){
<div class="dhcc-form">
    <form method='post' id="cdcPatientInfoForm" name="cdcPatientInfoForm" enctype="multipart/form-data">
	
        <#Hidden id="id" value="${cdcPatient.id}"/>

		<#Input id="patientCode" name="患者主索引" value="${cdcPatient.patientCode}"/>
		<#Input id="healthCode" name="电子健康码" value="${cdcPatient.healthCode}"/>
		<#Input id="name" name="姓名" value="${cdcPatient.name}"/>
		<#Input id="gender" name="性别" value="${cdcPatient.gender}"/>
		<#Input id="nationality" name="国籍" value="${cdcPatient.nationality}"/>
		<#Input id="nation" name="民族" value="${cdcPatient.nation}"/>
		<#DateTime id="birthdate" name="出生日期" value="${cdcPatient.birthdate}"/>
		<#Input id="age" name="年龄" value="${cdcPatient.age}"/>
		<#Input id="ageMonth" name="年龄月" value="${cdcPatient.ageMonth}"/>
		<#Input id="ageDay" name="年龄天" value="${cdcPatient.ageDay}"/>
		<#Input id="cardType" name="证件类型" value="${cdcPatient.cardType}"/>
		<#Input id="cardValue" name="证件号码" value="${cdcPatient.cardValue}"/>
		<#Input id="nativePlace" name="籍贯" value="${cdcPatient.nativePlace}"/>
		<#Input id="nativeAddress" name="户籍所在地详细描述" value="${cdcPatient.nativeAddress}"/>
		<#Input id="nowAddress" name="现住址详细描述" value="${cdcPatient.nowAddress}"/>
		<#Input id="company" name="工作单位" value="${cdcPatient.company}"/>
		<#Input id="telephone" name="电话" value="${cdcPatient.telephone}"/>
		<#Input id="email" name="邮箱" value="${cdcPatient.email}"/>
		<#Input id="contactor" name="联系人" value="${cdcPatient.contactor}"/>
		<#Input id="contactorPhone" name="联系人电话" value="${cdcPatient.contactorPhone}"/>
		<#Input id="career" name="职业" value="${cdcPatient.career}"/>
		<#Input id="bloodAbo" name="血型ABO" value="${cdcPatient.bloodAbo}"/>
		<#Input id="bloodRh" name="血型Rh" value="${cdcPatient.bloodRh}"/>
		<#Input id="dataId" name="业务数据类型" value="${cdcPatient.dataId}"/>
		<#Input id="isActive" name="是否有效" value="${cdcPatient.isActive}"/>
        <div class="toolbar">
        	<#Button name="保存" id="ensure" icon="icon-w-save" clickFun="CdcPatientInfoDlg.editSubmit()"/>
        	<#Button btnCss="l-bt-red" name="关闭" id="cancel" icon="icon-w-close" clickFun="CdcPatientInfoDlg.close()"/>
        </div>
    </form>
</div>
<script src="${ctxPath}/static/backend/cdc/cdcpatient/cdcpatient_info.js"></script>
@}
